Sallisaw Pharmacy Inc

LBN: Sallisaw Pharmacy Inc
Sallisaw Pharmacy Inc is an health care organization with primary practice located at 1212A E Cherokee Ave , Sallisaw OK 74955-5232. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Sallisaw Pharmacy Inc can be contacted via phone (918) 775-4451, or through Risley, Jimmy Dewayne via phone (918) 775-4451.

Contact Information

Primary practice address
1212A E Cherokee Ave Sallisaw OK 74955-5232
Phone: (918) 775-4451
Fax: (918) 775-5269
Website:
Map and Directions
Authorized official contact:
Name: Risley, Jimmy Dewayne Doctor of Public Health (DPH)
Phone: (918) 775-4451

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376524777
LBN Legal business name Sallisaw Pharmacy Inc
DBA Doing business as
Authorized official Risley, Jimmy Dewayne Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Aug 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376524777 NPPES
Oklahoma MEDICAID 100237570A

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